Individual
JINA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 E RIDGEWOOD AVE STE 208, RIDGEWOOD, NJ 07450-3937
(201) 444-0868
Mailing address
1200 E RIDGEWOOD AVE STE 208, RIDGEWOOD, NJ 07450-3937
(201) 444-0868
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA11105600
NJ
2084N0400X
Neurology Physician
291837
NY
Other
Enumeration date
06/09/2016
Last updated
02/17/2022
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